Organization Active NPI

Bliss Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1720321433
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029936 Issued in NY
Legal business name
BLISS PHYSICAL THERAPY PC
Practice address
13939 35TH Ave
Flushing, NY 11354-3500
Phone
(718) 888-2600
Fax
(718) 888-9746
NPI assigned
Apr 1, 2013
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Anu
Title
Manager
Phone
(718) 886-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029936 NY Primary

Addresses

Primary practice location

13939 35TH Ave
Flushing, NY 11354-3500

Mailing address

PO Box 521231
Flushing, NY 11352-1231
Phone (718) 886-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130906000152 NY Part B Supplier - Clinic/Group Practice 1557504859 Receives reassigned benefits from 1 practitioner
Practice locations: Hollis, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1720321433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521231",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113521231",
            "telephone_number": "718-886-8180",
            "fax_number": "718-886-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543500",
            "telephone_number": "718-888-2600",
            "fax_number": "718-888-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "ANU",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-886-8180"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.